Final answer:
If bleeding has not stopped after two minutes, the phlebotomist should continue applying pressure and consider notifying a healthcare provider or applying a pressure bandage if necessary, while monitoring for signs of continued bleeding or bruising.
Step-by-step explanation:
When a phlebotomist observes that bleeding has not stopped after applying pressure for two minutes post-venipuncture, it is important to take additional measures to ensure hemostasis and patient safety. The phlebotomist should continue to apply pressure for a longer period, which may be up to five or ten minutes. During this time, the pressure is maintained with sterile gauze or a cotton ball directly on the venipuncture site. If bleeding continues, the phlebotomist should then evaluate the need for further intervention, such as notifying a healthcare provider or applying a pressure bandage.
It is crucial to observe for signs of continued bleeding, bruising, or hematoma formation. Ensuring patient safety through proper hemostasis is a critical part of phlebotomy and medical lab technology.
In cases where bleeding persists, it may be necessary to check for potential underlying causes such as a bleeding disorder or the patient taking anticoagulant medication. Continuous monitoring and appropriate response are essential components of effective phlebotomy practice.